NPI | 1700238441 |
---|---|
Entity Type | Organization |
Authorized Contact | JEAN M STUTO Owner/Operator 402-972-6049 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NE 4682) |
Enumeration Date | 2016-07-06 |
Last Update Date | 2016-07-06 |